Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $14,454.40	Facility		$1,122.02	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $3,467.37	Professional		$977.24	$1,174.90	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $4,786.30	Professional		$1,047.13	$1,995.26	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $3,801.89	Professional		$1,513.56	$3,388.44	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $8,912.51	Facility		$1,148.15	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,235.94	Professional		$1,862.09	$2,630.27	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $8,709.64	Facility		$1,148.15	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $8,128.31	Professional		$1,071.52	$1,905.46	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,311.31	Professional		$1,230.27	$2,398.83	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,332.54	Facility		$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $5,128.61 / $8,128.31	Professional		$1,445.44	$5,128.61	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $5,128.61	Professional		$2,951.21	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $4,570.88	Professional		$1,023.29	$1,737.80	$4,570.88